Individual
STEPHANIE BROOKE GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
275 WALTON DR, LOUISA, KY 41230-9322
(606) 673-4912
Mailing address
4167 HEWLET RD, FORT GAY, WV 25514-7479
(304) 962-7369
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017492
KY PHARMACIST LICENSE
KY
Enumeration date
08/06/2018
Last updated
08/06/2018
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